JUMP TO IT 10K/5K
REGISTRATION FORM

SATURDAY, MAY 8, 2010 

events
Last Name                       First Name                                Age on    Sex  

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                                                                          Race Day    M/F
Mailing address (include apt. # and c/o)                    

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City and State                                                       Zip/Postal Code

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Birth date      Area Code       Telephone                          

|___|___|___|  |__|__|__| |__|__|__|-|__|__|__|__|   
 Mo  Day Yr   

E-Mail Address 

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Shirt Size 	Youth Large |__|   Small |__|  Medium |__|   Large |__|    X Large |__|                                     

Bring a friend: New this year, if you bring a friend to any Vacation Sports 
event and they are new to the Vacation Sports family of events you will recieve 
a thank you gift. Stop by the challenge table on race day for more information!

How did you hear about our race?
___a.) Friend: 				(Friends Name)____________________________   
___b.) Print Ad:
___c.) Midwest Events online or magazine
___d.) Facebook/Twitter
___e.) Other		(describe) ______________________________

WAIVER. Knowingly and at my own risk I do hereby apply to enter an athletic contest. I hereby agree that I release and discharge Vacation Sports, and all other parties associated with Jump to It 10K from all claims, demands, injuries, damages, actions or causes of action from all acts of active or passive negligence on the part of such corporations, organizations, clubs, their servants, agents or employees, and hereby assume all the risks associated with my participation in the event. Further, I hereby grant full permission to any and all of the foregoing to use my name, likeness and voice, as well as any photographs, videotape, motion pictures, recordings and any other record of this event in which I may appear for any legitimate purpose including broadcast of the event, the reuse in any media of this broadcast and in advertising and promotion.

Signature
(by parent or guardian if
participant is under 18) ___________________________________________________

MAIL ENTRY FORM WITH $20 BY May 6 TO

MORE INFORMATION ON OTHER RACES